<form name="confirmPaybackForm" class="form-horizontal" novalidate style="height:520px;width:900px;overflow-y:auto;overflow-x:hidden;">
	<div class="form-group mt10 clearfix">
		<span class="col-sm-6 control-label">支付时间：</span>
		<div class="col-sm-15">
			<input type="text" class="fl input-text w120 ml3 input-date" ng-model="beginDate"
			       ui-date format="yyyy-MM-dd" ng-disabled="true">
			<span class="fl ml3">-</span>
			<input type="text" class="fl input-text w120 ml3 input-date" ng-model="endDate"
			       ui-date format="yyyy-MM-dd" ng-disabled="true">
		</div>
	</div>

	<div class="form-group mt10 clearfix">
		<span class="col-sm-6 control-label">支付金额合计(元):</span>
		<div class="col-sm-15">
			<input type="text" class="form-control" ng-model="total_pay_amount" value="" ng-disabled="true"/>
		</div>
	</div>

	<div class="form-group mt10 clearfix">
		<span class="col-sm-6 control-label">支付记录(条):</span>
		<div class="col-sm-15">
			<input type="text" class="form-control" ng-model="record_count" value="" ng-disabled="true"/>
		</div>
	</div>

	<!--<div class="form-group mt10 clearfix">-->
		<!--<span class="col-sm-6 control-label">提现时间:</span>-->
		<!--<div class="col-sm-15">-->
			<!--<input type="text" class="fl input-text w120 ml3 input-date" ng-model="withdraw_time"-->
			       <!--ui-date format="yyyy-MM-dd">-->
		<!--</div>-->
	<!--</div>-->

	<div class="form-group mt10 clearfix">
		<span class="col-sm-6 control-label">收款账号:</span>
		<div class="col-sm-15">
			<input type="text" class="form-control" ng-model="receivables_account" value="" />
		</div>
	</div>

	<div class="form-group mt10 clearfix">
		<span class="col-sm-6 control-label">收款账户:</span>
		<div class="col-sm-15">
			<input type="text" class="form-control" ng-model="receivables_account_name" value="" />
		</div>
	</div>
	<div ng-if="pname != '云采购采宝'">
		<button class="btn"
				ui-dialog="引入待录入回款"
				ui-dialog-data="{}"
				ui-dialog-show="onRefundImportNoInvoiceShow($dialogScope, 2, $dialog)"
				ui-dialog-ok="importPayment($dialogScope.selectedItems)"
				ui-dialog-cache="false"
				ui-dialog-url="/contract/editinc/import-unrecord_refund.html">引入待录入回款
		</button>
	</div>
	<div id="unrecord-info-page" ng-include="'confirm/confirm-refund-info.html'"></div>

	<div class="form-group mt10 clearfix">
		<div class="col-sm-15">
			<span class="ml40">请确定是否确认回款,点击确定后,该操作不可撤销</span>
		</div>
	</div>
</form>
